Archived: Millway

Updated 28 June 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was completed by one inspector.

Service and service type:

Supported living service.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service 24 hours’ notice of the inspection visit because it is small, and the registered manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.

What we did:

Before the inspection, we did not ask the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. However, the provider was given the opportunity to tell us all about the service and we took this into account when we made judgements in this report.

We reviewed the information we held about the service. We also contacted health and social care commissioners who place and monitor the care of people using care services, the local authority safeguarding team and Healthwatch England, the national consumer champion in health and social care to identify if they had any information which may support our inspection.

During our inspection, we spoke with one person who used the service for the regulated activity, and three other people who shared the same house. We spoke with two members of care staff, one office member of staff, the deputy manager and the registered manager. We also spoke with one healthcare professional.

We reviewed the care records for two people and three staff files. We also looked at other information related to the running of and the quality of the service. This included quality assurance audits, training information, staffing rotas, and arrangements for managing complaints.

Updated 28 June 2019

About the service:

Millway is a supported living service which provides care and support to people living in a ‘supported living’ setting so that they can live in their own homes as independently as possible. At the time of inspection, the provider was supporting 11 people within three different properties, however only two people in one property were being supported with their personal care needs.

People’s experience of using this service:

Improvements were required to the way people’s care was recorded and audited.

Improvements were required to the way care and staffing arrangements were planned.

People had risk assessments in place and staff were knowledgeable about people’s risks.

Safeguarding systems were in place and reported appropriately.

Staff were trained to meet people’s needs and supported.

People consented to their care and the registered manager had a good understanding of the Mental Capacity Act.

People were supported to have their healthcare needs met.

People were treated well and staff encouraged people’s independence.

People were able to maintain their privacy and dignity.

People had care plans in place which reflected their care needs.

Systems were in place to record and investigate complaints, though no complaints had been received since the last inspection.

The registered manager promoted a culture of openness and encouraged people to provide feedback on the quality of the service they received.

Rating at last inspection:

The last comprehensive inspection was rated, Requires Improvement (published 5 June 2018) with breaches. A follow up focussed inspection was rated Requires Improvement (published 9 October 2018) with breaches of Regulation 12 (Safe care and treatment) and Regulation 17 (Good governance) of the Health and Social Care Act 2018 (Regulated Activities) Regulations 2014 (Part 3).

Why we inspected:

This was a planned inspection, based on the rating of the previous inspection.

Enforcement:

We identified a breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to governance systems. Details of action we have asked the provider to take can be found at the end of this report.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk